叶利群基于络脉-玄府理论辨治多囊卵巢综合征不孕症经验介绍
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R711.75;R249

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宁波市科技计划项目(2023Z206)


Introduction of YE Liqun's Experience in Treating Infertility in Polycystic Ovary Syndrome Based on Theory of Collaterals and Sweat Pores
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    摘要:

    总结介绍叶利群教授基于络脉-玄府理论辨治多囊卵巢综合征不孕症的临床经验。络脉-玄府理论 认为,胞宫及五脏周围网络着许多的络脉、玄府,协调气血津液升降出入。叶利群教授认为,多囊卵巢综合征 不孕症的核心病机在于内外邪气侵袭机体,致五脏功能失调,月经周期气血阴阳消长紊乱,精气血津液升降流 转障碍,产生痰瘀浊邪,影响五脏之玄府开阖、络脉通利,冲任失畅,胞络瘀阻,导致胞宫失养,血海不充, 卵泡发育停滞与排出不畅。故叶利群教授在叶天士辛味药、藤类药物开玄通络用药思想的启迪下,详审病机, 通补相合施治,独创效方,分别以多囊行经汤、多囊养胞汤、多囊促卵汤、多囊促经汤四方对应月经四个周期 以恢复脏腑功能,以消痰瘀浊邪,使玄府通,络脉和,养胞促卵,月事以时下,方能阴阳交和,胎孕即成。

    Abstract:

    Abstract: This paper summarizes and introduces Professor YE Liqun's clinical experience in treating infertility caused by polycystic ovary syndrome based on the theory of collaterals and sweat pores. The theory of collaterals and sweat pores holds that there are many collaterals and sweat pores around the uterus and five organs,which coordinate the ascending,descending,existing and entering of qi,blood,and body fluids. Professor YE Liqun believes that the core pathogenesis of infertility caused by polycystic ovary syndrome lies in the invasion of internal and external pathogenic qi into the body,leading to dysfunction of the five organs,disorder of the balance of qi,blood,yin and yang during the menstrual cycle,obstruction of the flow of essence,qi,blood,and body fluids,and the production of phlegm, blood stasis, and turbidity. This affects the opening and closing of sweat pores of the five organs, the smooth circulation of collaterals,the obstruction of thoroughfare and conception channels,and the stasis and blockage of cellular blood vessels, resulting in the loss of nourishment of the uterus, insufficient blood flow, and stagnant development and discharge of follicles. Therefore,inspired by the medicinal ideas of YE Tianshi's acrid herbs and vine based medicines,the pathogenesis is carefully differentiated,combined promoting and tonifying methods,and unique effective formulas are created. The four formulas of Duonang Xingjing Decoction, Duonang Yangbao Decoction, Duonang Culuan Decoction,and Duonang Cujing Decoction corresponding to the four menstrual cycles are applied to restore organ function, eliminate phlegm, stasis, and turbid pathogen, promote the circulation of sweat pores, harmonize meridians,nourish the ovary,and promote timely menorrhea,only then can yin and yang harmonized,and pregnancy be achieved.

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何仙春,指导:叶利群.叶利群基于络脉-玄府理论辨治多囊卵巢综合征不孕症经验介绍[J].新中医,2025,57(2):182-187

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  • 在线发布日期: 2025-02-05
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